Medical practice

Our department is in charge of medical practice mainly for respiratory disease, diabetes mellitus, metabolism endocrine disease, neuromuscular disease, collagen and rheumatoid disease, dementia and geriatric disease. Many of the elderly patients with these diseases are also suffering from various other diseases which affect to each other complicatedly. The doctors in our department cooperates with each other to review the pathological condition systematically to provide the best treatment. We also participate in various teams such as AST (Antimicrobial Stewardship Team), RST (Respiratory Support Team), DMT (Diabetes Mellitus Team) and NST (Nutrition Support Team) to provide the best care to the patients with co-workers.

As educational institute or related certified educational institute our department is currently certified as following;

Educational Institute

The Japanese Society of Internal Medicine

The Japanese Respiratory Society

The Japan Society for Respiratory Endoscopy,

The Japanese Association for Infectious Diseases

The Japanese Diabetes Society

The Japan Endocrine Society

Related Certified Educational Institute

Japanese Society of Neurology

Education

We are aiming to make students and medical interns learn how to practice general internal medicine through the process from first visit to diagnosis and treatment. Many kinds of tools to diagnose are performed in our department. Not only blood tests, X rays, and respiratory function tests, but also bronchoscopy, electromyography, EEG, and endocrine stress tests will be undertaken.

We hope students learn the way how to diagnose and treat in general internal
medicine while medical interns acquire the techniques to diagnose and treat in our department.

Resarch

We are doing researching on the following themes in the respective areas;

1. Respiratory diseases related reseach

   Relationship between gut environment and respiratory diseases

   Systemic effects of respiratory diseases

   The relationship between mechanical property and maintenance of lung structure by respiratory movement, especially its analysis using collagen fiber orientation

   The role of microbiome in respiratory diseases

   Reducing the side effects with new medicines, especially the molecule targeted ones

   Determinants of phenotype in chronic obstructive pulmonary disease (COPD) (Japan-US joint research)

   Determinants of diversity in COPD-clinical courses

2. Diabetes related research

   Survey and research on severe hypoglycemia related to diabetes treatment

   Study of the relationship between glycoalbumin-HbA1c ratio and pancreatic β cell function in patients with type 2 diabetes

   Survey on prevalence of hepatocellular carcinoma in patients with diabetes

   Study of renin-aldosterone system in patients with type 2 diabetes

   Study on the characteristics of diabetes patients who have undergone limb amputation

   Study on effects especially those other than hypoglycemic effect of anti-diabetic agent SGLT-2 inhibitor

3. Neurological disease related research

   Strategies in diet treatment for migraine